Klinische Monatsblatter fur Augenheilkunde最新文献_第9页

A Troublesome Case of Indirect Carotid-Cavernous Fistula Presenting with Proptosis without Pulsation. 一例表现为突眼而无搏动的颈动脉-海绵瘘疑难病例

IF 0.8 4区医学

Klinische Monatsblatter fur Augenheilkunde Pub Date : 2024-05-01 Epub Date: 2022-11-22 DOI: 10.1055/a-1984-1031

Tahsin Uzundede, Aslı Kırmacı Kabakcı, Ömer Yıldız, Arzu Taşkıran Çömez

引用次数: 0

Schwerpunkthema Augenentzündungen bei entzündlichen Systemerkrankungen: „der Blick vom Auge auf den ganzen Menschen“. 关注炎症性系统疾病中的眼部炎症："从眼睛看整个人"。

IF 0.8 4区医学

Klinische Monatsblatter fur Augenheilkunde Pub Date : 2024-05-01 Epub Date: 2024-05-22 DOI: 10.1055/a-2280-0394

Arnd Heiligenhaus, Claus Cursiefen

引用次数: 0

Assessment of ChatGPT in the Prehospital Management of Ophthalmological Emergencies - An Analysis of 10 Fictional Case Vignettes. ChatGPT在眼科急诊院前管理中的评估——对10例虚构病例的分析。

IF 0.8 4区医学

Klinische Monatsblatter fur Augenheilkunde Pub Date : 2024-05-01 Epub Date: 2023-10-27 DOI: 10.1055/a-2149-0447

Dominik Knebel, Siegfried Priglinger, Nicolas Scherer, Julian Klaas, Jakob Siedlecki, Benedikt Schworm

{"title":"Assessment of ChatGPT in the Prehospital Management of Ophthalmological Emergencies - An Analysis of 10 Fictional Case Vignettes.","authors":"Dominik Knebel, Siegfried Priglinger, Nicolas Scherer, Julian Klaas, Jakob Siedlecki, Benedikt Schworm","doi":"10.1055/a-2149-0447","DOIUrl":"10.1055/a-2149-0447","url":null,"abstract":"Background: The artificial intelligence (AI)-based platform ChatGPT (Chat Generative Pre-Trained Transformer, OpenAI LP, San Francisco, CA, USA) has gained impressive popularity in recent months. Its performance on case vignettes of general medical (non-ophthalmological) emergencies has been assessed - with very encouraging results. The purpose of this study was to assess the performance of ChatGPT on ophthalmological emergency case vignettes in terms of the main outcome measures triage accuracy, appropriateness of recommended prehospital measures, and overall potential to inflict harm to the user/patient.Methods: We wrote ten short, fictional case vignettes describing different acute ophthalmological symptoms. Each vignette was entered into ChatGPT five times with the same wording and following a standardized interaction pathway. The answers were analyzed following a systematic approach.Results: We observed a triage accuracy of 93.6%. Most answers contained only appropriate recommendations for prehospital measures. However, an overall potential to inflict harm to users/patients was present in 32% of answers.Conclusion: ChatGPT should presently not be used as a stand-alone primary source of information about acute ophthalmological symptoms. As AI continues to evolve, its safety and efficacy in the prehospital management of ophthalmological emergencies has to be reassessed regularly.","PeriodicalId":17904,"journal":{"name":"Klinische Monatsblatter fur Augenheilkunde","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"61563248","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Fehlbildungen und Dystrophien der Uvea. 葡萄膜畸形和萎缩。

IF 0.8 4区医学

Klinische Monatsblatter fur Augenheilkunde Pub Date : 2024-05-01 Epub Date: 2024-02-27 DOI: 10.1055/a-2255-6053

Andreas Ohlmann, Caspar Liesenhoff, Victor Brantl

引用次数: 0

Atopic Keratoconjunctivitis: Pathophysiology, Clinic, and Potential New Therapeutic Concepts. 特应性角结膜炎：病理生理学、临床和潜在的新治疗概念。

IF 0.8 4区医学

Klinische Monatsblatter fur Augenheilkunde Pub Date : 2024-05-01 Epub Date: 2024-04-11 DOI: 10.1055/a-2244-2885

Thabo Lapp, Caroline Mann, Thilo Jakob, Thomas Reinhard, Philip Christian Maier

{"title":"Atopic Keratoconjunctivitis: Pathophysiology, Clinic, and Potential New Therapeutic Concepts.","authors":"Thabo Lapp, Caroline Mann, Thilo Jakob, Thomas Reinhard, Philip Christian Maier","doi":"10.1055/a-2244-2885","DOIUrl":"10.1055/a-2244-2885","url":null,"abstract":"Atopic dermatitis (AD) is a chronic recurrent inflammatory skin disease with a bipolar age distribution in childhood, adolescence and middle adulthood. Up to 50% of AD patients show ocular involvement, which can be potentially sight threatening. Clinically, the majority of cases present with atopic blepharo(kerato)conjunctivitis or atopic keratoconjunctivitis (AKC); other clinical variants from this group of inflammatory ocular surface diseases are keratoconjunctivitis vernalis in childhood and adolescence and allergic conjunctivitis. In addition to the aforementioned blepharitis, keratitis and conjunctivitis, AD is also associated with eyelid involvement with subsequent eyelid malposition, limbal insufficiency with the development of pseudopterygia, (chronic) cicatrizing conjunctivitis with symblephara formation and fornix shortening, as well as ocular surface malignancies such as conjunctival intraepithelial neoplasia (CIN) and squamous cell carcinoma. In addition, an association with AD or AKC has been described for keratoconus. Whereas the therapy of AD in dermatology has made revolutionary advances in recent years through the use of biologicals, the primary use of these biologicals in ophthalmological complications is still very hesitant. Treatment here is often provided using topical steroids and calcineurin inhibitors. The following article summarises recent developments in basic and clinical dermatological research and discusses them in the context of current concepts for ophthalmological therapy.","PeriodicalId":17904,"journal":{"name":"Klinische Monatsblatter fur Augenheilkunde","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140867287","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Graft Detachment after DMEK in Bullous Keratopathy after Glaucoma Surgery]. [青光眼手术后大疱性角膜病的 DMEK 术后移植物脱落]。

IF 0.8 4区医学

Klinische Monatsblatter fur Augenheilkunde Pub Date : 2024-05-01 Epub Date: 2023-07-05 DOI: 10.1055/a-2080-2415

Valentin Leonhard Romeyn Hooijer, Christopher Wirbelauer

引用次数: 0

Peripapillary Hyperreflective Ovoid Mass-Like Structures as a Finding in Pseudopapilledema in Children. 儿童假性脑积水中发现的毛细血管周围高反射卵圆形块状结构

IF 0.8 4区医学

Klinische Monatsblatter fur Augenheilkunde Pub Date : 2024-04-26 DOI: 10.1055/a-2294-4853

Takuya Takayama, Shinji Makino, Hironobu Tampo

引用次数: 0

Development of Focal Choroidal Excavation in the Presence of Pachychoroid. 存在脉络膜睫状体的局灶性脉络膜切除的发展。

IF 0.8 4区医学

Klinische Monatsblatter fur Augenheilkunde Pub Date : 2024-04-26 DOI: 10.1055/a-2303-4324

S Makino, Y Sato, M Takezawa, Y Shimizu

引用次数: 0

Retrospective Analysis of Bicanalicular Lacrimal Silicone Tube Intubation in Patients with Congenital Nasolacrimal Duct Obstruction: A Long-term Follow-up Study. 先天性鼻泪管阻塞患者双侧泪囊硅胶管插管的回顾性分析：长期随访研究。

IF 0.8 4区医学

Klinische Monatsblatter fur Augenheilkunde Pub Date : 2024-04-26 DOI: 10.1055/a-2237-1139

Julian Alexander Zimmermann, Jens Julian Storp, Ralph-Laurent Merté, Larissa Lahme, Nicole Eter

{"title":"Retrospective Analysis of Bicanalicular Lacrimal Silicone Tube Intubation in Patients with Congenital Nasolacrimal Duct Obstruction: A Long-term Follow-up Study.","authors":"Julian Alexander Zimmermann, Jens Julian Storp, Ralph-Laurent Merté, Larissa Lahme, Nicole Eter","doi":"10.1055/a-2237-1139","DOIUrl":"10.1055/a-2237-1139","url":null,"abstract":"Congenital nasolacrimal duct obstruction (CNLDO) is the most common cause of epiphora in the first year of life. In addition to conservative therapy, there are several invasive methods available. The aim of this retrospective study was to conduct a long-term follow-up of bicanalicular lacrimal duct intubation as the primary intervention in a large cohort of patients with CNLDO. The electronic medical records of 487 patients with CNLDO who underwent bicanalicular tube intubation were reviewed. To determine the long-term outcomes, a telephone interview was conducted. A total of 328 eyes of 235 patients were included in the study. The median average follow-up period was 6.67 (5.58 - 8.67) years. At the time of the survey, 218 patients (92.8%) were symptom free. Mean patient satisfaction with surgical outcome was 10/10. To our knowledge, this study provides the longest follow-up of the largest patient cohort in the literature consisting of patients who underwent probing with bicanalicular lacrimal silicone tube intubation as a primary intervention for CNLDO. This study showed a high long-term postoperative success rate, with high postoperative satisfaction, few complications, and a low need for reintervention.","PeriodicalId":17904,"journal":{"name":"Klinische Monatsblatter fur Augenheilkunde","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2024-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140864828","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Diagnosis of Incomplete Congenital Stationary Night Blindness in a 2-year-old boy. 诊断出一名两岁男孩患有不完全先天性静止性夜盲症。

IF 0.8 4区医学

Klinische Monatsblatter fur Augenheilkunde Pub Date : 2024-04-23 DOI: 10.1055/a-2255-8098

David A Merle, Susanne Kohl, Melanie Kempf, Katarina Stingl, Martin Kowalski, L. Kühlewein

引用次数: 0